Plastic Biliary Stent Migration During Multiple Stents Placement and Successful Endoscopic Removal Using Intra-Stent Balloon Inflation Technique: A Case Report and Literature Review.
Plastic Biliary Stent Migration During Multiple Stents Placement and Successful Endoscopic Removal Using Intra-Stent Balloon Inflation Technique: A Case Report and Literature Review.
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DOI：
10.12659/ajcr.896076
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发表时间：
2016-02-05
期刊：
影响因子：
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通讯作者：
Balzarini M
中科院分区：
文献类型：
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作者：
Calcara C;Broglia L;Comi G;Balzarini M
病人：男性，77岁最终诊断：胆道肿瘤症状：-药物治疗：-临床操作：使用支架内球囊充盈技术取出胆道支架专业：胃肠病学和肝病学诊断/治疗事故内镜置入后塑料胆道支架的晚期移位是一种众所周知的并发症，但关于多支架置入过程中塑料支架移位的信息很少。一名白色男性因肿瘤性肝门狭窄导致严重黄疸住院。入院时手术资格似乎不明确，进行了内镜检查，但第一枚支架在第二枚支架插入时向近端移位。在尝试使用各种器械失败后，使用扩张球囊通过插管成功取出了移位的支架。多个支架置入过程中塑料胆道支架的移位是一种可能的并发症。在这种情况下，提取可能非常复杂。在我们的患者中，用扩张球囊插入支架是唯一有效的方法。
Patient: Male, 77 Final Diagnosis: Biliary neoplasm Symptoms: — Medication: — Clinical Procedure: Biliary stent removal using intra-stent balloon inflation techniqueextraction Specialty: Gastroenterology and Hepatology Diagnostic/therapeutic accidents Late migration of a plastic biliary stent after endoscopic placement is a well known complication, but there is little information regarding migration of a plastic stent during multiple stents placement. A white man was hospitalized for severe jaundice due to neoplastic hilar stenosis. Surgical eligibility appeared unclear on admission and endoscopy was carried out, but the first stent migrated proximally at the time of second stent insertion. After failed attempts with various devices, the migrated stent was removed successfully through cannulation with a dilation balloon. The migration of a plastic biliary stent during multiple stents placement is a possible complication. In this context, extraction can be very complicated. In our patient, cannulation of a stent with a dilation balloon was the only effective method.